Membership Application Form

Membership is ” Free – of – Charge “. To be eligible for membership, you are required to complete 12 questions ( indicated below ) in additional to a minimum attendance of four ( 4 ) trips with us ( local or overseas ) per calendar year.

RM_Stats

Username *

Password *

Password must be at least 7 characters long.

Enter password again *

Password must be at least 7 characters long.

Full Name (as in NRIC or Passport) *

Christian/English Name (if any)

Sex *

Male

Female

Date of Birth *

Home Address *

Home Tel ( if don't have, please indicate why don't have ) *

Personal / Private Email :

Job Designation / Occupation *

Office Telephone No *

Name of Company / Employer *

Office / Company Email *

1st Mobile Phone Number *

2nd Mobile Phone Number

Name of Next-of-Kin ( N-O-K ) *

Relationship of N-O-K (eg. Cousin, Parent, Sibling, Spouse) *

Mobile / Tel No of Next-of-Kin *

Are you a Member or Participant of a Society / Club or Group. If so, which one? (eg. NSS, RMBR, ACRES, BWV, ECO, SEC, GVN, SAC, STPB, etc) *

Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.